Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $4,771.00 / $9,539.00	Facility		$274.52	$4,771.00	$9,539.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $137.26 / $137.26 / $331.36	Facility	52	$137.26	$137.26	$331.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $526.00 / $925.00	Facility		$273.83	$526.00	$925.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $213.26 / $213.26 / $213.26	Facility	52	$213.26	$213.26	$213.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $26.66 / $26.66 / $26.66	Facility	AS	$26.66	$26.66	$26.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.10 / $278.88 / $399.07	Professional		$223.10	$278.88	$399.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.75 / $324.43 / $493.27	Facility		$250.75	$324.43	$493.27
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $60.82 / $71.20 / $98.65	Facility	80	$60.82	$71.20	$98.65
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $42.58 / $49.77 / $69.06	Facility	AS	$42.58	$49.77	$69.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $243.86 / $308.06 / $557.67	Facility		$243.86	$308.06	$557.67
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00